Catania G, Cardì F, Salanitri T, Petralia G A, Puleo C, Romeo G
Dipartimento di Chirurgia, Università degli Studi di Catania.
G Chir. 1996 Aug-Sep;17(8-9):425-30.
In the last few years more and more often the use of pancreaticogastrostomy (PG) for reconstruction after pancreatoduodenectomy (PD) has been reported. Aim of this paper is to review pertinent Literature and to try to define, on the basis of Authors' experience, the role this technique may have in reducing morbidity and mortality of PD. From January 1993 to June 1995 nine pancreaticogastrostomies were performed. Five patients had an adenocarcinoma of the papilla, two had a carcinoma of the distal choledochus and two had a carcinoma of the head of the pancreas. Major complications in this series were one operative death unrelated to PG and a massive bleeding from the gastric site of the anastomosis occurred 3 days after the operation, associated to a partial dehiscence of the anastomosis, treated surgically. Reported results after pancreaticogastrostomy seem to demonstrate a dramatic decrease in morbidity and mortality after PD, however, the real value of this technique will be established only after a greater clinical experience and, when possible, wider randomized prospective studies.
在过去几年中，越来越多地报道了在胰十二指肠切除术（PD）后使用胰胃吻合术（PG）进行重建。本文的目的是回顾相关文献，并根据作者的经验，尝试确定该技术在降低PD的发病率和死亡率方面可能发挥的作用。1993年1月至1995年6月期间，共进行了9例胰胃吻合术。5例患者患有乳头腺癌，2例患有胆总管远端癌，2例患有胰头癌。该系列中的主要并发症包括1例与PG无关的手术死亡，以及术后3天吻合口胃部发生大出血，并伴有吻合口部分裂开，经手术治疗。胰胃吻合术后报告的结果似乎表明PD后的发病率和死亡率显著降低，然而，只有在积累更多临床经验并尽可能进行更广泛的随机前瞻性研究之后，才能确定该技术的真正价值。
